91-100713 9/-goo 7/3
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
ILDING PERMIT 941-1555
PERMIT NO. 91-650 NR OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1200 SW 347 PL
CONTRACTOR OWNER ADDRESS 18000 72 AVE S KENT CONT. PHONE 251-9877
CONT. REG. NO. DORENI*21 OM3 6/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILYUNITS MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO._66�490-030 LEGAL DESCRIPTION LOT 37 PARKLANE ESTATES DIV 1
•
RUED BY . ELIZABETH SNYDER DATE OF ISSUE �-'v / DATE OF APPLICATION 5/20/91
BUILDING INFORMATION J
ZONE RS 7.2
OCCUPANCY R-3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 2071
SET BACKS: FRONT 20 SIDE 5, REAR_ 5' STORIES 2 _ HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS _ FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 11 X $5.00 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION $111,717.00
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $682.00 NO BUIDLING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE
PLAN CHECK FEE 443.00 123.00 OR EASEMENT, SHOWN OR NOT SHOWN. APPLICANT TO LANDSCAPE
•LUMBING FEE 65.00 FRONT YARD.
MECHANICAL FEE _ 20.00
TOTAL BLDG. FEES $1210.00 FIRE DEPT APPROVAL = KEVIN ELLIS
PART PIC FEE (320.00) PD ON 5/20/91 PUBLIC WKS APPROVAL = TOM COLLINS
SEPA REVIEW
WATER SERVICE BUILDING DEPT APPROVAL = MIKE MONEN
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES P. WKS 35.00 DATE PD AMT $929.50 REC'T 74:-/C,('-)--
AMOUNT
/'7' -AMOUNT DUE $929.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B •• -T:
L
OWNER OR AGENT(j( DATE - ZU ! i
RECEIVED110 mit # tos,,,(.)
_ MAY 0 1991 ,
2 CITY OF FEDERAL WAY � a
—
.;;ITYOFFEDERAL WAY BUILDING PERMIT APPLICATION
_ BUILDING DEPT: —Please Print—
2 c7
1 TENANT NAME:
OWNER D. ea)19u;/ Lin mCs SITE LOCATION
OWNER'S ADDRESS /.S10Oo— 7,-rt a A-Lie . CITY /( ' - r PHONE -1 57-;f 7 7
DESCRIBE JOB . SSJe 174-m it
THE PROPERTY IS OWNI'b BY: SINGLE/MARRED PARTNERSHIP CORPORATION
X 2 CONTRACTOR'S NAME -571-mC` CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS rY2c CITY PHONE c/—1:7
EXPIRATION DATE 6 — /
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON \-77 of) 5(.h mA-t! (Z PHONE�-S/ js 7 7
BOX 4 SEWER DISTRICT Fri,/ Ltl A`y WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST / ; ay-7 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 66 C S .:'0 0 37 a v /
LEGAL DESCRIPTION L0 T .3-7 /,vz/C//'z✓e -s% Pi y
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1)-7 / 2ND FLOOR %)( /
3RD FLOOR / BASEMENT / DECK / GARAGE L/% /
BOX 8 ( t { NGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1-�/
Z5°-7)-2) SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. '--, WATERCLOSETS GAS PIPING, FEET $ 3-a'
2- BATHTUBS NO. / FURNACE, ELEC. GAS `— $ /-
SHOWERS / GAS HOT WATER HEATER $ C
LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
// TOTAL FIXTURES $
X ,6-` -' TOTAL MECHANICAL FEE .- --- $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: / 111 VA DATE: -7-' 1
/ ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THI LINE) tf!-- . '" J
ZONED 1 SETBACKS: FRONT Zo' SIDE S' REAR s ' HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL 3p3m, = �
Arn
REMARKS .�l`2 c /� ld� gr-
� G�zeid ee'
(rftei,ic,94,1 io „40-7,,d,&.(4, ir_oit fA_,e1(2_
SEPA: EXEMPT ✓ NOT EXEMPT
FIRE DEPARTMENT APPROVAL r DATE 6-0-77
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 7 G DATE 0.51`ti
REMARKS:
TYPE OF JOB: NEW RESIDENCE ,k RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY Y-3 TYPE OF CONSTRUCTION YN STORES 71c,,U
151-cc/mil BUILDING SQ. FT. 9027 @ 7a9D = (- c76
a''6 .2 ,i BUILDING SQ. FT. 74 @ 7,24o = si 3a
�“.(k2.2 BUILDING SQ. FT. '1-/6 @ 10O = Ci r 05,g
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _ /a L y.J c2
BUILDING SQ. FT. @ i" V16:6C't2 X, Cil _
TOTAL SQ. FT. da 71 TOTAL VALUATION (-//l/j 77 7 4'7
BUILDING DEPARTMENT REMARKS: PERMIT FEE ii(Lf
PLAN CHECK FEE 1-1.,3. 73e5)
PLUMBING FEE S`
MECHANICAL FEE ,,l `'
TOTAL BLDG. FEES /-
PART P/C FEE CV3:2-D,f'r
SEPA REVIEW
P w 35: 0°
S.B.C.C. FEE Y
OTHER FEES
AMOUNT DUE VA-
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ASSIGNED ADDRESS: I 7,-00 S - "J, 3 l{? -f-6• a
/-t tykRTIAL PLA 'C7HHECK FEE RECEIVED
Amount 3-�o -- Date C� •"c) I Receipt#
' BUILDING DEPARTMENT APPROVAL q
RECEIVED BY v "�/�' DATE /(O —(f —91 ACCEPTED FOR FILING
.__. �.__. �
'MAY 17 91 15:57 TO 219361 �M C NNC. T-308 P.02
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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS _ CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS _.
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. __ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING _ OTHER
TAX ACCOUNT NO._ LEGAL DESCRIPTION _
ISSUED BY _.__ _ _ DATE OF ISSUE .. DATE OF APPLICATION
BUILDING INFORMATION
ZONE _ OCCUPANCY_ TYPE OF CONSTRUCTION BLDG. SQ. FT
SET BACKS: FRONT SIDE _ REAR_ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR - _. TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL -. AMOUNT
VALUATION PLANNIN( DEPT APPROVAL s DEB BARKER
PERMIT FEE NO BUIDLI743C SWILL '°: CPOACR ONTO Al.-Y. BUJ
- •
^ a! S q+.e--:.
PLAN CHECK FEE �' ` OR EASEMENTSMT, CillNOT
PLUMBING FEE FRONT YARD.
MECHANICAL FEE
TOTAL BLDG. FEES !FIRE DEPT APPROVAL = Y.Z'VT'; ! LT_!<`
0 01,,i 5/20/91
PART P/C FEE PUBLIC PUB.' IC ! '•
{S APPROVAL TO COL~
SEPA REVIEW
WATER SERVICE _,_ WILDING DEPT .7P0"V. ),, = NiT K '
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES )ATE I'D '319�S0 RF "I,
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT _ DATE
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